6 months of EM in ACCS

1. 6 months of EM in ACCS Zareena Jedaar (UHW ED)

2. What to expect in this session • The role of the CT1 and 2 in EM • Induction • Registration with the College of EM for EM trainees • Training agreement • ACCS Workbook • WPBAs • Educational opportunities • Structured training report and ARCP • Who’s who of ACCS training in Wales EM

3. What to expect in EM

4. However, ....

5. The role of the CT1/2 in the ED • Progression from Foundation to Specialty training • Active participation in the varied activities of the ED: work, learn, lead, teach and audit – all largely unavoidable! • Achieve EM skills and knowledge • Become confident in assessing and treating a range of acutely ill or injured adults and children • Assessed by WPBAs and MCEM exams for EM trainees • Assume leadership role, incl. resus (under supervision) • Teach and advise less experienced staff (about stuff you know) • Provide medical student teaching

6. Induction • Registration with the College of EM for EM trainees • First of 3 Meetings with educational/clinical supervisor • Documentation on e-portfolio for EM and AM trainees; hard copy format for Anaesthetic trainees • Training agreement • AWSEM training agreement • Personal development plan • Workplace based assessments • Attendance at teaching/regional teaching for EM trainees • Participation in Audit/Teaching • E-learning modules to supplement WPBAs

8. WPBAs Summative assessments vs Formative assessments • 2 Major Presentations: summative Mini-CEX or CBD • 5 Acute Presentations (EM specific): summative Mini-CEX or CBD • 1ACAT-EM: up to 5 additional Acute Presentations • 5 DOPS (using specific DOPs forms to include Airway, Wound management, Primary Survey in trauma, Joint or fracture manipulation + one other practical procedure) • 10 additional assessments of acute presentations using a combination of e-learning, reflective entries, teaching and audit assessments, additional ACAT-EM • 1 MSF (minimum of 12 to include 3 Consultants)

9. Educational opportunities Departmental teaching Regional teaching: 10/09/13 at Royal Gwent Audit and Teaching (consultant completes WPB assessment forms for these) E-learning (e-LFH, doctors.net, bmj.com, Mock Exams (MCEM and FCEM: 8/10/2013) AWSEM training day (Posters and presentations by trainees) Simulation training days and Airway training Day (3/12/13) Check emails and respond when necessary

10. Structured training report and ARCP “Procrastination is the thief of time, collar it” – Charles Dickens, David Copperfield • STR completed by trainee and educational supervisor • Records WPBAs and achievements and documents strengths and weaknesses/areas for development • Summarises the evidence of competence required at the ARCP to determine progression or not • Complete at least 1 month before end of placement/ARCP to allow time to complete assessments or address potential areas of concern

11. Who’s who • Leads within each ED responsible for ACCS training: • In Bangor – Rob Perry • In Cardiff - Zareena Jedaar • In Newport – Tim Rogerson • In Swansea - Dindi Gill • In Wrexham - Robin Roop • ACCS lead and training programme director for EM – Zareena Jedaar • Specialty lead (Head of School) - Amanda Farrow

12. “Nothing that we do, is done in vain. I believe, with all my soul, that we shall see triumph.” ― Charles Dickens, A Tale of Two Cities